| NPI | 1275580318 |
|---|---|
| Doing Business As | GOODMAN CAMPBELL BRAIN AND SPINE |
| Entity Type | Organization |
| Authorized Contact | AMY KIPPERT Billing Manager 317-396-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-03-26 |