Organization
CIMARRON SURGERY CENTER SORELLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN R SORELLE MD (PRESIDENT)
(702) 739-4263
Entity
Organization
Contact information
Practice address
6940 S CIMARRON RD STE 150, LAS VEGAS, NV 89113-2135
(702) 982-3555
(866) 787-4371
Mailing address
PO BOX 27051, SALT LAKE CITY, UT 84127-0051
(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
06/08/2021
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