NPI 1508802596

Marina K Petukoff, MD

Practitioner Hospitalist Physician Rapid City, SD

Practice location

Address: 353 Fairmont Blvd., Rapid City, SD 57701
Phone: (605) 719-1000
Mailing address: 353 Fairmont Blvd Atten Medical Staff Services, Rapid City, SD 57701-6000

Registered specialties

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 4607 (SD)

Other Hospitalist providers in South Dakota →

Registry record

NPI: 1508802596
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2006
Record last updated: 3 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.