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
702 RILEY HOSPITAL DR, SUITE 1134, INDIANAPOLIS, IN 46202-5139
(317) 274-8852
(317) 274-8895
Mailing address
8333 NAAB RD, SUITE 255, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 396-1346
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
12/21/2009
Last updated
09/12/2012
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