MICHAEL D BEASLEY

ADVANCED ENT AND ALLERGY PLLC

Dr MICHAEL D BEASLEY is a male medical professional, specializing in Physician Assistant. He graduated in 2018.

Contact

ADVANCED ENT AND ALLERGY PLLC

1023 NEW MOODY LN
SUITE 202
LA GRANGE
KY
400319180

Tel: 5022224589

MICHAEL D BEASLEY Information

Npi 1336622281
Pac Id 2860738036
Professional Enrollment Id I20190108003927
Last Name BEASLEY
First Name MICHAEL
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCED ENT AND ALLERGY PLLC
Group Practice Pac Id 2769525385
Number Of Group Practice Members 39
Line 1 Street Address 1023 NEW MOODY LN
Line 2 Street Address SUITE 202
Marker Of Address Line 2 Suppression
City LA GRANGE
State KY
Zip Code 400319180
Phone Number 5022224589
Hospital Affiliation Ccn 1 180088
Hospital Affiliation Lbn 1 NORTON HOSPITALS, INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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