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
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/10/2026
Last updated
04/10/2026
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