BASIL D. FOSSUM, M.D., F.A.C.S.

Urology

Active Organization
NPI: 1235326026

Practice Address

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

Phone: (850) 266-5722

Specialties

Specialty Code Primary License
Urology 208800000X Yes -

Frequently Asked Questions

NPI 1235326026 is the National Provider Identifier for BASIL D. FOSSUM, M.D., F.A.C.S., a Urology provider located in Fort Walton Beach, FL. This NPI was enumerated on September 26, 2007.

Quick Facts

NPI
1235326026
Type
Organization
Enumerated
Sep 26, 2007
Last Updated
Dec 14, 2020

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