OrganizationActive
Custom Medical Services
NPI 1669452298 · Adolescent Medicine (Family Medicine) Physician · Roosevelt, UT
Provider details
- NPI number
- 1669452298
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Steve Pehrson, President
- License
- V09531 (UT)
Mailing address
Rr 3 Box 3053
Roosevelt, UT 84066-9609
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.