Healthcare Provider Details

I. General information

NPI: 1831161843
Provider Name (Legal Business Name): RADIATION ONCOLOGY SPECIALISTS OF CENTRAL VIRGINIA PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 04/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6105 HEALTH CENTER LANE
FREDERICKSBURG VA
22407
US

IV. Provider business mailing address

PO BOX 31872
RICHMOND VA
23294-1872
US

V. Phone/Fax

Practice location:
  • Phone: 540-786-5262
  • Fax: 540-786-5299
Mailing address:
  • Phone: 804-266-8717
  • Fax: 804-266-5677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILSON B SPRENKLE
Title or Position: PRESIDENT
Credential: MD
Phone: 804-266-8717