# INDIANAPOLIS NEUROSURGICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Goodman Campbell Brain and Spine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679733166
- **Authorized official:** MR. DEREK CANTRELL CPA (CFO)
- **Authorized official phone:** (317) 396-1392

## Contact information

- **Practice address:** 355 W 16TH ST, SUITE 5100, INDIANAPOLIS, IN 46202-2207
- **Practice address phone:** (317) 396-1300
- **Practice address fax:** (317) 329-3040
- **Mailing address:** 8333 NAAB RD, SUITE 255, INDIANAPOLIS, IN 46260-5924
- **Mailing address phone:** (317) 396-1300
- **Mailing address fax:** (317) 329-3040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2008
- **Last updated:** 09/26/2012