GARY C ELLISON

Dr GARY C ELLISON is a male medical professional, specializing in Chiropractic. He graduated in 1996 from Los Angeles College Of Chiropractic.

Contact

3225 W BAVARIA ST
101 ELLISON CHIROPRACTIC
EAGLE
ID
836165547

Tel:

GARY C ELLISON Information

Npi 1780883389
Pac Id 0749316727
Professional Enrollment Id I20100329001003
Last Name ELLISON
First Name GARY
Middle Name C
Suffix
Gender M
Credential
Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduation Year 1996
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3225 W BAVARIA ST
Line 2 Street Address 101 ELLISON CHIROPRACTIC
Marker Of Address Line 2 Suppression
City EAGLE
State ID
Zip Code 836165547
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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