# SOAR MEDICAL LLC

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

## Provider details

- **NPI number:** 1255820361
- **Authorized official:** PATRICIA HURFORD (OWNER)
- **Authorized official phone:** (314) 499-6888

## Contact information

- **Practice address:** 14825 N OUTER 40 RD STE 310, CHESTERFIELD, MO 63017-2152
- **Practice address phone:** (314) 499-6888
- **Mailing address:** 343 S KIRKWOOD RD, SAINT LOUIS, MO 63122-4015
- **Mailing address phone:** (314) 451-2225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 08/04/2022
