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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 (CHIEF FINANCIAL OFFICER)
(317) 396-1300
Entity
Organization

Contact information

Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-4498
(317) 988-4069
Mailing address
8333 NAAB RD, SUITE 255, INDIANAPOLIS, IN 46260-5924
(317) 396-1462
(317) 396-1346

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
01/06/2010
Last updated
01/06/2010
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