BASIL FOSSUM

Urology Physician

NPI: 1821043811Individual

Specialties, Licenses & Credentials

Specialist

Code: 174400000X

ME53505(FL)

Urology PhysicianPrimary

Urology

Code: 208800000X

ME53505(FL)

Contact & Hours

Address: 914B MAR WALT DR
FORT WALTON BEACH, FL 32547
Phone: (850) 226-6572

Quick Facts

NPI: 1821043811
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 2
Locations: 1

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