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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)
(317) 396-1386
Entity
Organization

Contact information

Practice address
355 W 16TH ST, SUITE 5100, INDIANAPOLIS, IN 46202-2207
(317) 396-1300
(317) 924-8472
Mailing address
8333 NAAB RD, SUITE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 396-1346

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207T00000X
Neurological Surgery Physician
Primary
2085R0204X
Vascular & Interventional Radiology Physician
332B00000X
Durable Medical Equipment & Medical Supplies
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
07/15/2006
Last updated
04/03/2014
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