Organization
CLOVIS E. MANLEY, MD LLC
Active
Other names
Evansville Regional Vein Center, Primary Care Plus, Deja Vu Skin & Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLOVIS E. MANLEY MD (OWNER/PHYSICIAN)
(812) 490-9462
Entity
Organization
Contact information
Practice address
4943 ROSEBUD LN, NEWBURGH, IN 47630-9226
(812) 471-8195
(812) 490-1060
Mailing address
4943 ROSEBUD LN, NEWBURGH, IN 47630-9226
(812) 471-8195
(812) 490-1060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036788
IN
207Q00000X
Family Medicine Physician
71001387A
IN
207Q00000X
Family Medicine Physician
71001874A
IN
Other
Enumeration date
10/30/2007
Last updated
02/19/2024
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