Organization

Clovis E. Manley, Md Llc

May also be knows as Deja Vu Skin & Health Center

Family Medicine Physician in Newburgh, IN(View on Map)

Legal Business Name

Clovis E. Manley, Md Llc

Also Known As

Deja Vu Skin & Health Center

NPI Number

1972782662

NPI Type

Organization

Enumeration Date

10/30/2007

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Indiana
Indiana
Indiana

License Number

01036788
71001387A
71001874A

Contact
Information

Purpose

Mailing
Location

Address

4943 ROSEBUD LN
4943 ROSEBUD LN

City

Newburgh
Newburgh

State

IN
IN

Postal Code

47630-9226
47630-9226

Country

US
US

Telephone Number

(812) 471-8195
(812) 471-8195

Authorized Official

Name

Dr. Clovis Manley

Title or Position

OWNER/PHYSICIAN

Telephone Number

(812) 490-9462

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/19/2024

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