# GOOD SHEPHERD FAMILY CLINIC INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Shepherd Family Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396079711
- **Authorized official:** MRS. STEPHANIE SUE OLSON (OFFICE MANAGER)
- **Authorized official phone:** (417) 335-5022

## Contact information

- **Practice address:** 112 BUSINESS PARK DR, BRANSON, MO 65616-7426
- **Practice address phone:** (417) 335-5022
- **Practice address fax:** (417) 335-5044
- **Mailing address:** 112 BUSINESS PARK DR, BRANSON, MO 65616-7426
- **Mailing address phone:** (417) 335-5022
- **Mailing address fax:** (417) 335-5044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2007021133 | MO | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 10/01/2009