Organization
DEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENICK CARRA GRIESHABER M.D. (PHYSICIAN OWNER)
(504) 460-2895
Entity
Organization
Contact information
Practice address
3800 HOUMA BLVD STE 310, METAIRIE, LA 70006-4192
(504) 454-2997
(504) 456-5939
Mailing address
3800 HOUMA BLVD STE 310, METAIRIE, LA 70006-4192
(504) 454-2997
(504) 456-5939
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
08/06/2020
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