1821043811 Basil D. Fossum Md Pa, M.D., F.A.C.S.
Urology Physician
Active
Basic Information
- Full Name
- Basil D. Fossum Md Pa, M.D., F.A.C.S.
- Gender
- Male
- Enumeration Date
- May 24, 2006
- Last Update
- May 22, 2025
Practice Location
- Address
- 914B MAR WALT DR
FORT WALTON BEACH, FL 325476706 - Phone
- (850) 226-6572
- Fax
- (850) 862-8564
Mailing Address
- Address
- 914 MAR WALT DR STE B
FORT WALTON BEACH, FL 325476706 - Phone
- (850) 862-2555
- Fax
- (850) 862-8564
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Specialist | 174400000X | Specialist | ME53505 | FL | No |
| Urology Physician | 208800000X | Urology | ME53505 | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07317 | 01 | FL | BCBS FL |
| 1193041 | 01 | FL | WELLCARE |
| 4266997 | 01 | FL | AETNA THRU EMERALD COAST HEALTH ALLIANCE |
| 593-08600 | 01 | FL | BCBS AL |
| P00990540 | 01 | FL | RAILROAD MEDICARE |
| 159401 | 01 | FL | UNIVERSAL HEALTHCARE |
Frequently Asked Questions
What is Basil D. Fossum Md Pa, M.D., F.A.C.S.'s NPI number?
Basil D. Fossum Md Pa, M.D., F.A.C.S.'s NPI number is 1821043811.
Which doctor has NPI number 1821043811?
The doctor with NPI number 1821043811 is Basil D. Fossum Md Pa, M.D., F.A.C.S..
What is Basil D. Fossum Md Pa, M.D., F.A.C.S.'s practice address?
Basil D. Fossum Md Pa, M.D., F.A.C.S.'s practice address is 914B MAR WALT DR, FORT WALTON BEACH, FL, 325476706.
Which doctor practices at 914B MAR WALT DR, FORT WALTON BEACH, FL, 325476706?
Basil D. Fossum Md Pa, M.D., F.A.C.S. practices at 914B MAR WALT DR, FORT WALTON BEACH, FL, 325476706.
What is Basil D. Fossum Md Pa, M.D., F.A.C.S.'s mailing address?
Basil D. Fossum Md Pa, M.D., F.A.C.S.'s mailing address is 914 MAR WALT DR STE B, FORT WALTON BEACH, FL, 325476706.
What is Basil D. Fossum Md Pa, M.D., F.A.C.S.'s phone number?
Basil D. Fossum Md Pa, M.D., F.A.C.S.'s phone number is (850) 226-6572.
Who is (850) 226-6572?
(850) 226-6572 is the phone number for Basil D. Fossum Md Pa, M.D., F.A.C.S..
What is Basil D. Fossum Md Pa, M.D., F.A.C.S.'s specialty?
Basil D. Fossum Md Pa, M.D., F.A.C.S.'s specialty is Urology Physician.
What type of doctor is Basil D. Fossum Md Pa, M.D., F.A.C.S.?
Basil D. Fossum Md Pa, M.D., F.A.C.S. is a Urology Physician.
Is Basil D. Fossum Md Pa, M.D., F.A.C.S. a Urology?
Yes, Basil D. Fossum Md Pa, M.D., F.A.C.S. is a Urology.
Is Basil D. Fossum Md Pa, M.D., F.A.C.S. still practicing?
Yes, Basil D. Fossum Md Pa, M.D., F.A.C.S. is currently practicing.
Is Basil D. Fossum Md Pa, M.D., F.A.C.S. accepting new patients?
Basil D. Fossum Md Pa, M.D., F.A.C.S. may be accepting new patients. Please call their office at (850) 226-6572 to inquire about availability.
Is NPI 1821043811 still active?
Yes, NPI 1821043811 is currently active.
Where does Basil D. Fossum Md Pa, M.D., F.A.C.S. practice?
Basil D. Fossum Md Pa, M.D., F.A.C.S. practices in FORT WALTON BEACH, FL.
Is Basil D. Fossum Md Pa, M.D., F.A.C.S. a male or female doctor?
Basil D. Fossum Md Pa, M.D., F.A.C.S. is a male doctor.