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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