Custom Medical Services
Custom Medical Services is a Legal Medicine in Roosevelt, Utah. Licensed in Utah. Registered with an NPI since 2006.
- Licensed in
- UT
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
Rr 3 Box 3053Roosevelt, UT 84066-9609
Phone: (435) 722-7704
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0000X |
|---|---|
| Legal Medicine | Taxonomy 173000000X · Licence V09531 (UT) |
| Adult Medicine Physician | Taxonomy 207QA0505X · Licence V09531 (UT) |
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X |
Record details
| NPI number | 1669452298 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steve Pehrson — President · (435) 722-7704 |
| NPI enumerated | January 19, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | Rr 3 Box 3053, Roosevelt, UT 84066-9609 |