Indianapolis Neurosurgical Group
Physical Medicine & Rehabilitation in Indianapolis, IN. Organization (NPI-2).
NPI number1679733166
StatusActive
Last updated in NPPESSep 26, 2012
Details
- NPI
- 1679733166
- Entity type
- Organization (NPI-2)
- Legal business name
- Indianapolis Neurosurgical Group
- Organization subpart
- No
- Enumeration date
- Jun 10, 2008
- Last updated
- Sep 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Other names
- Goodman Campbell Brain And Spine (Doing Business As)
Practice location
355 W 16th StSuite 5100
Indianapolis, IN 46202-2207
Phone 317-396-1300 · Fax 317-329-3040
Mailing address
8333 Naab RdSuite 255
Indianapolis, IN 46260-5924
Phone 317-396-1300 · Fax 317-329-3040
Authorized official
Derek Cantrell
Cfo
3173961392
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