Organization
INDIANAPOLIS NEUROSURGICAL GROUP
Active
Other names
Goodman Campbell Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK CANTRELL (CFO)
(317) 396-1300
Entity
Organization
Contact information
Practice address
1633 N CAPITOL AVE, STE 300, INDIANAPOLIS, IN 46202-1261
(317) 396-1300
(317) 396-1346
Mailing address
8333 NAAB RD, SUITE 250, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318390
—
IN
Enumeration date
03/16/2009
Last updated
12/29/2009
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