DR. Ivan D Petrich, DO
NPI #1639527096 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1639527096
- Entity Type
- Individual
- Name
- DR. Ivan D Petrich, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- May 26, 2016
- Last Updated
- Sep 12, 2025
Practice Location
- Address
- 90 HOPE DR
- State
- Idaho
- ZIP Code
- 83648-1057
- Phone
- (208) 828-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Aerospace Medicine — Aerospace Medicine |
| Family Medicine |
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