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Organization

INDIANAPOLIS NEUROSURGICAL GROUP

Active
Other names
Goodman Campbell Brain and Spine
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK CANTRELL CFO (CHIEF FINANCIAL OFFICER)
(317) 396-1300
Entity
Organization

Contact information

Practice address
11725 N ILLINOIS ST, SUITE 275, CARMEL, IN 46032-3008
(317) 688-2045
(317) 396-1346
Mailing address
8333 NAAB RD, SUITE 255, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 396-1346

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
12/21/2009
Last updated
12/21/2009
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