BASIL D. FOSSUM, M.D. PA

Urology

Active Organization
NPI: 1154911527

Practice Address

914 MAR WALT DR STE B
Fort Walton Beach, FL 32547

Phone: (850) 226-6572

Specialties

Specialty Code Primary License
Urology 208800000X Yes -

Frequently Asked Questions

NPI 1154911527 is the National Provider Identifier for BASIL D. FOSSUM, M.D. PA, a Urology provider located in Fort Walton Beach, FL. This NPI was enumerated on January 20, 2021.

Quick Facts

NPI
1154911527
Type
Organization
Enumerated
Jan 20, 2021
Last Updated
May 22, 2025

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