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Organization

STILL WATERS MEDICAL CARE

Active
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Organization

STILL WATERS MEDICAL CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OKWUCHI OGBONNA (MANAGING MEMBER)
(855) 400-3575
Entity
Organization

Contact information

Practice address
2800 W 76 COUNTRY BLVD STE 16924985, BRANSON, MO 65616-2170
(855) 400-3575
Mailing address
2800 W 76 COUNTRY BLVD STE 16924985, BRANSON, MO 65616-2170
(417) 386-0932

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—

Other

Enumeration date
03/10/2026
Last updated
04/10/2026
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