Individual
DR. GARY WYATT ANDRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1165 S DORA ST STE B2, UKIAH, CA 95482-6353
(707) 468-0400
(707) 468-8240
Mailing address
1165 S DORA ST STE B2, UKIAH, CA 95482-6353
(707) 468-0400
(707) 468-8240
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU902
CA
237600000X
Audiologist-Hearing Aid Fitter
HA2025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP119690
CALIFORNIA CHILDREN SRVCS
CA
05
—
HA0020250
—
CA
Enumeration date
08/25/2006
Last updated
09/11/2025
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