Individual
CONNER DONALD SUGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
707 E MILL RD STE 303, VINEYARD, UT 84059-5730
(801) 224-1300
(801) 225-3236
Mailing address
275 W 200 N, LINDON, UT 84042-5009
(801) 769-2571
(801) 443-1164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12462625-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2020
Last updated
04/29/2022
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