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Organization
JITKA CIVRNA
Active
Organization
JITKA CIVRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITKA CIVRNA MD (PHYSICIAN)
(760) 773-4948
Entity
Organization
Contact information
Practice address
74000 COUNTRY CLUB DR STE G2, PALM DESERT, CA 92260
(760) 773-4948
(760) 773-4910
Mailing address
74-000 COUNTRY CLUB DR. #G2, PALM DESERT, CA 92260
(760) 773-4948
(760) 773-4910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
08/15/2018
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