Individual
DR. JONATHAN RICHARD SORELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9080 W POST RD, SUITE 200, LAS VEGAS, NV 89148-2419
(702) 739-4263
(877) 739-3590
Mailing address
PO BOX 160036, ALTAMONTE SPRINGS, FL 32716-0036
(702) 739-4263
(877) 739-3590
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
12562
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134418577
—
NV
05
—
1427150903
—
NV
Enumeration date
09/04/2006
Last updated
05/20/2024
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