Organization
INDIANAPOLIS NEUROSURGICAL GROUP
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
2525 W UNIVERSITY AVE, SUITE 503, MUNCIE, IN 47303-3421
(765) 288-0441
(765) 282-7879
Mailing address
8333 NAAB RD, SUITE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
(317) 396-1346
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200235010A
—
IN
05
—
200971560N
—
IN
Enumeration date
11/28/2006
Last updated
04/17/2014
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