Individual
STEPHEN T. GERRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 W SWANN AVE, SUITE 600, TAMPA, FL 33609-4039
(813) 876-7073
(813) 877-1277
Mailing address
2605 W SWANN AVE, SUITE 600, TAMPA, FL 33609-4039
(813) 876-7073
(813) 877-1277
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 102564
FL
207RI0008X
Hepatology Physician
MD.200507
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09588574
—
MS
05
—
1049981
—
LA
Enumeration date
07/30/2007
Last updated
02/17/2012
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