NPI 1699576066

Convergence Health LLC

Organisation General Practice Physician Lake Havasu City, AZ

Practice location

Address: 5601 Highway 95 N STE 714, Lake Havasu City, AZ 86404-8551
Phone: (928) 538-4325

Authorised official

Name: Courtney Stansbury
Title: Cno/Administrator
Phone: (928) 538-4325

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1699576066
Entity type: Organization
NPI issued: 21 Mar 2025
Record last updated: 24 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.