CUSTOM MEDICAL SERVICES

Adolescent Medicine (Family Medicine) Physician

NPI: 1669452298Organization

Specialties, Licenses & Credentials

Legal Medicine

Code: 173000000X

V09531(UT)

Adult Medicine Physician

Family Medicine — Adult Medicine

Code: 207QA0505X

V09531(UT)

Geriatric Medicine (Family Medicine) Physician

Family Medicine — Geriatric Medicine

Code: 207QG0300X

Adolescent Medicine (Family Medicine) PhysicianPrimary

Family Medicine — Adolescent Medicine

Code: 207QA0000X

Contact & Hours

Address: RR 3 BOX 3053
ROOSEVELT, UT 84066
Phone: (435) 722-7704

Quick Facts

NPI: 1669452298
Entity Type: Organization
Medicare: Not confirmed
Specialties: 4
Locations: 1

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