| NPI | 1972782662 |
|---|---|
| Doing Business As | PRIMARY CARE PLUS |
| Doing Business As | EVANSVILLE REGIONAL VEIN CENTER |
| Doing Business As | DEJA VU SKIN & HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CLOVIS E. MANLEY Owner/Physician 812-490-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01036788) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 71001387A) |
| 207Q00000X Family Medicine (Licence: IN 71001874A) | |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2024-02-19 |