Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IVAN D PETRICH, DO
ActiveDR. IVAN D PETRICH, DO is a Family Medicine healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1639527096 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1639527096
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2016 (10.209007445119 yrs)
- Last Updated
- Sep 12, 2025
- Licenses
-
2019-01392 (NC)2019-01392 (NC)
Practice Information
- Address
-
90 HOPE DRMOUNTAIN HOME AFB, ID, 836481057Browse ID providers · Browse ZIP 83648
- Phone
- 2088287900
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MOUNTAIN HOME AFB, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLIE ANN COLLENBORNE | M.D. | 1598945073 |
| DR. NATHAN TUAEFU PALMER | M.D. | 1184949935 |
| DR. MATTHEW CHRISTIAN BROWN | M.D. | 1578825501 |
| DR. DAKOTA T FREVE | M.D. | 1811345374 |
| ANDREW ALTON | — | 1285174185 |
| ANDREW JAMES MAGYAN | DO | 1790433035 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.