Organization
INDIANAPOLIS NEUROSURGICAL GROUP PC
Active
Organization
INDIANAPOLIS NEUROSURGICAL GROUP PC
Active
Other names
Goodman Campbell Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK CANTRELL (CFO)
(317) 396-1386
Entity
Organization
Contact information
Practice address
7120 CLEARVISTA DR, SUITE 3100, INDIANAPOLIS, IN 46256-1621
(317) 396-1300
(317) 396-1468
Mailing address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1462
(317) 396-1346
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/15/2006
Last updated
07/08/2020
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