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NPI Code Detail

MEDICARE: DR. RAFE C CONNORS MD

MEDICARE: DR. RAFE C CONNORS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician5414427-1205UT
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician5414427-1205UT

General Provider Information

NPI Number : 1497954416
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFE C CONNORS MD
Provider Business Mailing Address
First Line : 2950 N CHURCH ST STE 301
Second Line :
City : LAYTON
State : UT
Zip : 84040-6590
Country : US
Telephone Number : 801-777-7771
Fax Number :
Provider Business Practice Location Address
First Line : 1160 E 3900 S STE 3500
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84124-1264
Country : US
Telephone Number : 801-476-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 03/15/2022

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