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Organization
CUSTOM MEDICAL SERVICES
Active
Organization
CUSTOM MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE EDWIN PEHRSON M.D. (PRESIDENT)
(435) 722-7704
Entity
Organization
Contact information
Practice address
RR 3 BOX 3053, ROOSEVELT, UT 84066-9609
(435) 722-7704
Mailing address
RR 3 BOX 3053, ROOSEVELT, UT 84066-9609
(435) 722-7704
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
V09531
UT
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
NULL
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
V09531
UT
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
01/19/2006
Last updated
09/11/2025
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