Ellison Family Chiropractic

NPI #1508188400 in Eagle, Idaho

Provider Information

NPI Number
1508188400
Entity Type
Organization
Organization Name
Ellison Family Chiropractic
Primary Specialty
Chiropractor
Enumeration Date
Feb 18, 2010
Last Updated
Apr 4, 2012

Practice Location

Address
3225 W BAVARIA ST
Address 2
SUITE 101
City
Eagle
State
Idaho
ZIP Code
83616-5413
Phone
(208) 884-8848

Authorized Official

Name
DR. GARY CRAIG ELLISON, D.C.
Title
OWNER
Phone
(208) 884-8848

Specialties & Taxonomy Codes

Specialty
Chiropractor

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