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CUSTOM MEDICAL SERVICES

Organization (NPI-2) Active

Family Medicine, Adolescent Medicine

Provider Information

NPI Number
1669452298
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
RR 3 BOX 3053, ROOSEVELT, UT, 840669609
Phone
(435) 722-7704

Specialties & Taxonomies

Legal Medicine License: UT #v09531
Family Medicine, Adult Medicine License: UT #v09531
Family Medicine, Geriatric Medicine
Family Medicine, Adolescent Medicine Primary

All Addresses

MAILING

RR 3 BOX 3053

ROOSEVELT, UT, 840669609

(435) 722-7704

LOCATION

RR 3 BOX 3053

ROOSEVELT, UT, 840669609

(435) 722-7704