# DEGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588272215
- **Authorized official:** DOMENICK CARRA GRIESHABER M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (504) 460-2895

## Contact information

- **Practice address:** 3800 HOUMA BLVD STE 310, METAIRIE, LA 70006-4192
- **Practice address phone:** (504) 454-2997
- **Practice address fax:** (504) 456-5939
- **Mailing address:** 3800 HOUMA BLVD STE 310, METAIRIE, LA 70006-4192
- **Mailing address phone:** (504) 454-2997
- **Mailing address fax:** (504) 456-5939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2020
- **Last updated:** 08/06/2020