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

FORT WALTON BEACH, FL
NPI1235326026
Doing Business AsDR. FOSSUM
Entity TypeOrganization
Authorized ContactAPRIL HUGHES
Office Manager
850-226-6572
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Enumeration Date2007-09-26
Last Update Date2020-12-14
Business Address
BASIL D. FOSSUM, M.D., F.A.C.S.
914 MAR WALT DR STE B
FORT WALTON BEACH, FL 32547-6706
Phone number: 850-266-5722
Mailing Address
BASIL D. FOSSUM, M.D., F.A.C.S.
914B MAR WALT DR
FORT WALTON BEACH, FL 32547-6706
Phone number: 850-862-2555
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