Organization
SOAR MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HURFORD (OWNER)
(314) 499-6888
Entity
Organization
Contact information
Practice address
14825 N OUTER 40 RD STE 310, CHESTERFIELD, MO 63017-2152
(314) 499-6888
Mailing address
343 S KIRKWOOD RD, SAINT LOUIS, MO 63122-4015
(314) 451-2225
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
08/04/2022
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