OrganizationActive
Gerald R Moress MD PC
NPI 1619159126 · Neurology Physician · Ketchum, ID
Provider details
- NPI number
- 1619159126
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gerald Moress, President(801) 363-7386
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
191 5th Street West
Ketchum, ID 83340
Phone: (801) 363-7386
Fax: (801) 363-2431
Approximate (ZIP-level) locationGet directions
Mailing address
Suite 300
Salt Lake City, UT 84111-1256
Registry dates
- Enumerated
- 2007-11-27
- Last updated
- 2007-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.