Individual
DR. GARY CRAIG ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3225 W BAVARIA ST 101, EAGLE, ID 83616-5547
(208) 884-8848
Mailing address
3225 W BAVARIA ST STE 101, EAGLE, ID 83616-5547
(208) 884-8848
(208) 884-8802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C8455
ID
Other
Enumeration date
07/13/2007
Last updated
01/22/2026
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