BOISE ENT, LLC is a facial plastic surgery otolaryngology in Boise, ID. The provider is an otolaryngologist who specializes in facial plastic surgery. BOISE ENT, LLC NPI is 1174108674. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Donald J Beasley Sole Mbr.
The provider's business location address is:
8854 W EMERALD ST STE 150
BOISE, ID
ZIP 83704-844
Phone: (208) 229-2368
The provider's authorized official is Donald J Beasley .
The authorized official title is Owner and has the following contact phone number (208) 229-2368.
The enumeration date for this NPI number is 3/16/2021 and was last updated on 5/25/2021.