# STILL WATERS MEDICAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245186303
- **Authorized official:** DR. OKWUCHI OGBONNA (MANAGING MEMBER)
- **Authorized official phone:** (855) 400-3575

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2026
- **Last updated:** 04/10/2026