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Contact Information

JOHN B HIJJAWI, MD
5169 S COTTONWOOD ST STE 420
MURRAY, UT84107-6769
 Phone: 801-507-1650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN B HIJJAWI · (Male)

NPI Number 1114979812
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 03/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 9715393-1205
  • WI Medicaid 1114979812
  • Other 001863302G HUMANA
Hospital affiliation(s)
  • INTERMOUNTAIN MEDICAL CENTER - (Acute Care)
    5121 SOUTH COTTONWOOD STREET
    MURRAY, UT 84107
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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