# CLOVIS E. MANLEY, MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evansville Regional Vein Center, Primary Care Plus, Deja Vu Skin & Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972782662
- **Authorized official:** DR. CLOVIS E. MANLEY MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (812) 490-9462

## Contact information

- **Practice address:** 4943 ROSEBUD LN, NEWBURGH, IN 47630-9226
- **Practice address phone:** (812) 471-8195
- **Practice address fax:** (812) 490-1060
- **Mailing address:** 4943 ROSEBUD LN, NEWBURGH, IN 47630-9226
- **Mailing address phone:** (812) 471-8195
- **Mailing address fax:** (812) 490-1060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01036788 | IN | Yes |
| 207Q00000X | Family Medicine Physician | 71001387A | IN | — |
| 207Q00000X | Family Medicine Physician | 71001874A | IN | — |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 02/19/2024