| Gerald R Moress Md Pc | |
|
191 5th Street West Ketchum ID 83340 | |
| (801) 363-7386 | |
| (801) 363-2431 |
| Full Name | Gerald R Moress Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 191 5th Street West, Ketchum, Idaho |
| Authorized Official Name and Position | Gerald R Moress (PRESIDENT) |
| Authorized Official Contact | 8013637386 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald R Moress Md Pc Suite 300 370 E South Temple Salt Lake City UT 84111-1256 Ph: (801) 363-7386 | Gerald R Moress Md Pc 191 5th Street West Ketchum ID 83340 Ph: (801) 363-7386 |
| NPI Number | 1619159126 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619159126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Idaho) | Primary |
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