| NPI | 1134146582 |
|---|---|
| Doing Business As | GOODMAN CAMPBELL BRAIN AND SPINE |
| Entity Type | Organization |
| Authorized Contact | DEREK CANTRELL CFO 317-396-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2014-04-03 |