Dr GARY C ELLISON is a male medical professional, specializing in Chiropractic. He graduated in 1996 from Los Angeles College Of Chiropractic.
3225 W BAVARIA ST
101 ELLISON CHIROPRACTIC
EAGLE
ID
836165547
Tel:
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 | |
All Secondary Specialties | |
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 |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.