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Organization
INDIANAPOLIS NEUROSURGICAL GROUP
Active
Organization
INDIANAPOLIS NEUROSURGICAL GROUP
Active
Other names
Goodman Campbell Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK CANTRELL CPA (CFO)
(317) 396-1392
Entity
Organization
Contact information
Practice address
355 W 16TH ST, SUITE 5100, INDIANAPOLIS, IN 46202-2207
(317) 396-1300
(317) 329-3040
Mailing address
8333 NAAB RD, SUITE 255, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 329-3040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
09/26/2012
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