DR. IVAN PETRICH, DO
Family Medicine
Active
Individual
NPI: 1639527096
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preventive Medicine - Aerospace Medicine | 2083A0100X | No | 2019-01392 (NC) |
| Family Medicine | 207Q00000X | Yes | 2019-01392 (NC) |
Frequently Asked Questions
NPI 1639527096 is the National Provider Identifier for DR. IVAN PETRICH, DO, a Family Medicine provider located in Mountain Home Afb, ID. This NPI was enumerated on May 26, 2016.
DR. IVAN PETRICH, DO practices at 90 HOPE DR, Mountain Home Afb, ID 83648.
Quick Facts
- NPI
- 1639527096
- Type
- Individual
- Enumerated
- May 26, 2016
- Last Updated
- Sep 12, 2025
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