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CUSTOM MEDICAL SERVICES NPI 1669452298


NPI Information

NPI: 1669452298
Provider Name: CUSTOM MEDICAL SERVICES
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
RR 3 BOX 3053
ROOSEVELT, UT
ZIP 84066
Phone: (435) 722-7704
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CUSTOM MEDICAL SERVICES is a legal medicine in Roosevelt, UT. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. 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 8/22/2020.


Taxonomy Codes

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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal MedicineV09531UTAHYes
2207QA0000XFamily MedicineAdolescent MedicineX
3207QA0505XFamily MedicineAdult MedicineV09531UTAHX
4207QG0300XFamily MedicineGeriatric MedicineX

What is NPI?

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: 4/28/2024

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