Individual
JEAN DESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2500 BELLE CHASSE HIGHWAY, GRETNA, LA 70056
(504) 392-3131
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
07002R
LA
208M00000X
Hospitalist Physician
Primary
MD.07002R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02277763
—
MS
05
—
1358401
—
LA
Enumeration date
05/18/2006
Last updated
10/29/2008
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