Organization · Type 2 NPI
Gerald R Moress MD PC
Neurology Physician · Ketchum, ID
NPI number
1619159126
Active
Practice location
191 5th Street West
Ketchum, ID 83340
Fax (801) 363-2431
Mailing address
Suite 300, 370 E South Temple
Salt Lake City, UT 84111-1256
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | None listed |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2 other providers at this address
About NPI 1619159126
Gerald R Moress MD PC's National Provider Identifier is 1619159126, issued on Nov 27, 2007. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Ketchum, ID. The record was last updated on Nov 27, 2007.