Marina K Petukoff in Rapid City - Hospitalist
Marina K Petukoff - NPI 1508802596
Marina K Petukoff is a Hospitalist in Rapid City, South Dakota. Marina K Petukoff practices all healthcare services and medical treatments related to Hospitalist. The NPI Number for Marina K Petukoff is 1508802596. The last update date is 2013-01-03.
Marina K Petukoff's current location address is 353 Fairmont Blvd., Rapid City, South Dakota. You can contact this provider via phone number 6057191000. The mailing address for Marina K Petukoff is 353 Fairmont Blvd., Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marina K Petukoff |
|---|---|
| Address | 353 Fairmont Blvd., Rapid City, South Dakota |
| Phone Number | 6057191000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508802596 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2013-01-03 |
Provider Mailing Address Detail
| Address | 353 Fairmont Blvd. |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 57701 |
| Phone Number | 6057191000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Hospitalist |
|---|---|
| Taxonomy | 208M00000X |
| Licence No | 4607 |
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Definition: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers t |
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What is the Marina K Petukoff's unique identification number?
The Marina K Petukoff has been assigned the NPI (National Provider Identifier) Number 1508802596 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Marina K Petukoff's physical address?
The Marina K Petukoff is physically located at 353 Fairmont Blvd., in the city of Rapid City, SD, with the postal code 57701.
What is Marina K Petukoff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marina K Petukoff is Hospitalist, and the taxonomy classification code that categorizes this area of expertise is 208M00000X.
On what date did the Marina K Petukoff receive its 1508802596 assignment from the Centers for Medicare & Medicaid Services?
The Marina K Petukoff was assigned its 1508802596 by the Centers for Medicare & Medicaid Services on 2006-06-20.
When was the Marina K Petukoff's information last updated?
The Marina K Petukoff's information was last updated on 2013-01-03.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC