| NPI | 1669701629 |
|---|---|
| Doing Business As | GOODMAN CAMPBELL BRAIN AND SPINE |
| Entity Type | Organization |
| Authorized Contact | DEREK CANTRELL Chief Financial Officer 317-396-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2012-09-12 |