IndividualActive
Conner Sugrue, PA-C
NPI 1508481706 · Physician Assistant · Vineyard, UT
Provider details
- NPI number
- 1508481706
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
707 E Mill Rd Ste 303
Vineyard, UT 84059-5730
Phone: (801) 224-1300
Fax: (801) 225-3236
Approximate (ZIP-level) locationGet directions
Mailing address
275 W 200 N
Lindon, UT 84042-5009
Registry dates
- Enumerated
- 2020-06-12
- Last updated
- 2022-04-29
- Certified
- 2022-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.