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Individual

CALEB SPROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-1803
Mailing address
414 QUEEN ST, ALEXANDRIA, VA 22314-2621
(423) 712-0558

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
208D00000X
General Practice Physician
Primary
0101286706
VA

Other

Enumeration date
01/26/2024
Last updated
09/08/2025
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