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 |
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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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