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) 396-1300
Entity
Organization
Contact information
Practice address
7855 S EMERSON AVE, INDIANAPOLIS, IN 46237-8668
(317) 396-1300
Mailing address
8333 NAAB RD, 255, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100318390M
—
IN
Enumeration date
12/14/2006
Last updated
12/29/2009
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