Organization
CONVERGENCE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY STANSBURY (CNO/ADMINISTRATOR)
(928) 538-4325
Entity
Organization
Contact information
Practice address
5601 HIGHWAY 95 N STE 714, LAKE HAVASU CITY, AZ 86404-8551
(928) 538-4325
Mailing address
5601 HIGHWAY 95 N STE 714, LAKE HAVASU CITY, AZ 86404-8551
(928) 538-4325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/24/2025
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