Organization
INDIANAPOLIS NEUROSURGICAL GROUP
Active
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
Update your record
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