Individual
BETH ANN OMUNDSEN-OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
(540) 678-2859
Mailing address
104 SELMA DR, WINCHESTER, VA 22601-3834
(540) 678-2800
(540) 678-2859
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
0101044204
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005627915
—
VA
Enumeration date
01/24/2006
Last updated
03/21/2025
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