Organization
SURGEON'S SURGERY CENTER SORELLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SORELLE MD (PRESIDENT)
(702) 339-4668
Entity
Organization
Contact information
Practice address
6940 S CIMARRON RD STE 100, LAS VEGAS, NV 89113-2135
(702) 982-3555
(866) 787-4371
Mailing address
PO BOX 27874, SALT LAKE CITY, UT 84127-0874
(702) 982-3555
(866) 787-4371
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
02/05/2024
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