Organization
INDIANAPOLIS NEUROSURGICAL GROUP
Active
Other names
Goodman Campbell Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK CANTRELL (EXEC DIRECTOR FINANCE)
(317) 396-1300
Entity
Organization
Contact information
Practice address
201 PENNSYLVANIA PKWY, 200, INDIANAPOLIS, IN 46280-2301
(317) 396-1300
Mailing address
8333 NAAB RD, 255, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01024604
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318390N
—
IN
Enumeration date
04/24/2007
Last updated
12/29/2009
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