Healthcare Provider Details

I. General information

NPI: 1225317282
Provider Name (Legal Business Name): DAVID PAUL MANLEY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17575 GREEN VALLEY RANCH BLVD
DENVER CO
80249-7988
US

IV. Provider business mailing address

11613 GREAT ABACO CT
EL PASO TX
79936-2174
US

V. Phone/Fax

Practice location:
  • Phone: 254-816-5646
  • Fax:
Mailing address:
  • Phone: 720-470-9087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA12060
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.0009846
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: