IndividualActive
Marina Petukoff, MD
NPI 1508802596 · Hospitalist Physician · Rapid City, SD
Provider details
- NPI number
- 1508802596
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4607 (SD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
353 Fairmont Blvd.
Rapid City, SD 57701
Phone: (605) 719-1000
Approximate (ZIP-level) locationGet directions
Mailing address
353 Fairmont Blvd
Rapid City, SD 57701-6000
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2013-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.