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BASIL FOSSUM MD PA

Urology Physician

NPI: 1184594962Organization

Specialties, Licenses & Credentials

Urology PhysicianPrimary

Urology

Code: 208800000X

Contact & Hours

Address
914B MAR WALT DR
FORT WALTON BEACH, FL 32547

Quick Facts

NPI
1184594962
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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