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NPI Verification

National Provider Identifier: 1235326026

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

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

914 MAR WALT DR STE B

FORT WALTON BEACH, FL 325476706

Phone: 850-266-5722

NPI Enumeration Date

September 26, 2007

NPI Number

1235326026

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry