MEDICARE: THOMAS K. CONNER 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
1	207Q00000X	Family Medicine Physician	3628541205	UT
2	207VX0000X	Obstetrics Physician	3628541205	UT

General Provider Information

NPI Number	:	1780619023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS K. CONNER MD

Provider Business Mailing Address
First Line	:	6360 S 3000 E
Second Line	:	STE 100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6923
Country	:	US
Telephone Number	:	801-365-1032
Fax Number	:	801-365-1033

Provider Business Practice Location Address
First Line	:	6360 S 3000 E
Second Line	:	STE 100
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84121-6923
Country	:	US
Telephone Number	:	801-365-1032
Fax Number	:	801-365-1033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	09/11/2025

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