Healthcare Provider Details

I. General information

NPI: 1932356912
Provider Name (Legal Business Name): BRUCE NORTON WEISLER RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 45TH AVE APT 9
SAN FRANCISCO CA
94121-2447
US

IV. Provider business mailing address

4150 CLEMENT ST
SAN FRANCISCO CA
94121-1545
US

V. Phone/Fax

Practice location:
  • Phone: 415-992-1515
  • Fax:
Mailing address:
  • Phone: 415-221-4800
  • Fax: 415-750-2147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number1507
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: