# ARIZONA INSTITUTE OF NEUROPSYCIATRIC DISORDERS PC

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

## Provider details

- **NPI number:** 1588721823
- **Authorized official:** RAYMOND A MONDORA D.O. (OWNER)
- **Authorized official phone:** (928) 692-5200

## Contact information

- **Practice address:** 1739 E BEVERLY AVE, SUITE 106, KINGMAN, AZ 86409-3593
- **Practice address phone:** (928) 692-5200
- **Practice address fax:** (928) 692-5252
- **Mailing address:** 1739 E BEVERLY AVE, SUITE 106, KINGMAN, AZ 86409-3593
- **Mailing address phone:** (928) 692-5200
- **Mailing address fax:** (928) 692-5252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | AZ | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 07/21/2022