Organization
INDIANAPOLIS NEUROSURGICAL GROUP
Active
Other names
Goodman Campbell Brain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK CANTRELL CPA (CFO)
(317) 396-1392
Entity
Organization
Contact information
Practice address
355 W 16TH ST, SUITE 5100, INDIANAPOLIS, IN 46202-2207
(317) 396-1300
(317) 329-3040
Mailing address
8333 NAAB RD, SUITE 255, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 329-3040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/10/2008
Last updated
09/26/2012
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