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A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent Medicine |
207QA0000X | 08 | Physician/Family Practice | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice | |
Legal Medicine |
173000000X |
| NPI Number | 1669452298 |
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| LBN Legal business name | CUSTOM MEDICAL SERVICES | ||||
| Authorized official | STEVE PEHRSON - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/19/2006 | ||||
| Last updated | 09/11/2025 - About 9 months ago | ||||
| Identifiers |
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CUSTOM MEDICAL SERVICES
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CUSTOM MEDICAL SERVICES