Individual
DR. JOHN B HIJJAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5169 S COTTONWOOD ST STE 420, MURRAY, UT 84107-6769
(801) 507-1650
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
9715393-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001863302G
HUMANA
—
05
—
1114979812
—
WI
Enumeration date
05/17/2006
Last updated
03/29/2020
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