# CIMARRON SURGERY CENTER SORELLE PLLC

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

## Provider details

- **NPI number:** 1619439379
- **Authorized official:** JONATHAN R SORELLE MD (PRESIDENT)
- **Authorized official phone:** (702) 739-4263

## Contact information

- **Practice address:** 6940 S CIMARRON RD STE 150, LAS VEGAS, NV 89113-2135
- **Practice address phone:** (702) 982-3555
- **Practice address fax:** (866) 787-4371
- **Mailing address:** PO BOX 27051, SALT LAKE CITY, UT 84127-0051
- **Mailing address phone:** (702) 982-3555
- **Mailing address fax:** (866) 787-4371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/02/2019
- **Last updated:** 06/08/2021