Custom Medical Services
Organization Active NPI Adolescent Medicine (Family Medicine) Physician · Roosevelt, UT
NPI 1669452298 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1669452298
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adolescent Medicine (Family Medicine) Physician 207QA0000X
- Legal business name
- CUSTOM MEDICAL SERVICES
- Practice address
- RR 3 Box 3053
Roosevelt, UT 84066-9609 - Phone
- (435) 722-7704
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Steve Edwin Pehrson, M.D.
- Title
- President
- Phone
- (435) 722-7704
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine |
173000000X | V09531 | UT | |
| Adolescent Medicine (Family Medicine) Physician |
207QA0000X | Yes | ||
| Adult Medicine Physician |
207QA0505X | V09531 | UT | |
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X |
Addresses
Primary practice location
RR 3 Box 3053
Roosevelt, UT 84066-9609
Mailing address
RR 3 Box 3053
Roosevelt, UT 84066-9609
Phone (435) 722-7704
Other providers in Roosevelt, UT
- Kathryn Olsen Cockerham
- Daniel Evan Colver
- County of Duchesne
- Brent E Crane
- Crna Coverage, Inc
- Crispin Dalsing
- Rochelle L Danley
- William Scott Danley
- Davis-Burkett Food Corp
- Spencer G Donovan
All providers in Roosevelt, UT · Adolescent Medicine (Family Medicine) Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.