Basil D. Fossum, MD, FACS
Basil D. Fossum, MD, FACS is an Urology Physician in Fort Walton Beach, Florida. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
914 Mar Walt Dr Ste BFort Walton Beach, FL 32547-6706
Phone: (850) 266-5722
Fax: (850) 862-8564
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Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X |
|---|
Record details
| NPI number | 1235326026 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | April Hughes — Office Manager · (850) 226-6572 |
| Other names | Dr. Fossum |
| NPI enumerated | September 26, 2007 |
| Last updated in NPPES | December 14, 2020 |
| Certification date | December 14, 2020 |
| Mailing address | 914b Mar Walt Dr, Fort Walton Beach, FL 32547-6706 |
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21st Century Oncology LLC
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Basil D. Fossum, MD PA
914 Mar Walt Dr Ste B, Fort Walton Beach, FL 32547-6706 · (850) 226-6572
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Basil Fossum MD PA
914B Mar Walt Dr, Fort Walton Beach, FL 32547-6706 · (850) 862-2555
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John R Burns, MD
914B Mar Walt Dr, Fort Walton Beach, FL 32547-6706 · (850) 226-6572
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Emerald Coast Urology
909 Mar Walt Dr Ste 1011, Fort Walton Beach, FL 32547-6635 · (850) 863-3377
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Genesiscare USA of Florida LLC
909 Mar Walt Dr Ste 1011, Fort Walton Beach, FL 32547-6635 · (850) 683-3377