CUSTOM MEDICAL SERVICES is an adolescent medicine family medicine in Roosevelt, UT. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. CUSTOM MEDICAL SERVICES NPI is 1669452298. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
RR 3 BOX 3053 ROOSEVELT, UT ZIP 84066-609 Phone: (435) 722-7704
The provider's authorized official is Steve Edwin Pehrson . The authorized official title is President and has the following contact phone number (435) 722-7704.
The enumeration date for this NPI number is 1/19/2006 and was last updated on 9/11/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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