Organization · Type 2 NPI

Basil D. Fossum, M.d., F.a.c.s.

Urology Physician · Fort Walton Beach, FL

NPI number 1235326026 Active

Practice location

914 Mar Walt Dr Ste B
Fort Walton Beach, FL 32547-6706

Call (850) 266-5722 Map

Fax (850) 862-8564

Mailing address

914B Mar Walt Dr
Fort Walton Beach, FL 32547-6706

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XNone listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1235326026

Basil D. Fossum, M.d., F.a.c.s.'s National Provider Identifier is 1235326026, issued on Sep 26, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Dec 14, 2020.