Individual
BRYAN WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1670 S AMPHLETT BLVD STE 214, SAN MATEO, CA 94402-2511
(650) 378-8509
(650) 378-8549
Mailing address
750 N COMMONS DR STE 200, AURORA, IL 60504-7940
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA8448
CA
Other
Enumeration date
04/29/2019
Last updated
08/07/2020
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