Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ivan D Petrich, DO

Individual provider Aerospace Medicine Physician · NPI 1639527096

Dr. Ivan D Petrich, DO is an Aerospace Medicine Physician in Mountain Home AFB, Idaho. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

90 Hope Dr
Mountain Home AFB, ID 83648-1057
Phone: (208) 828-7900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2019-01392 (NC)
Aerospace Medicine Physician Taxonomy 2083A0100X · Licence 2019-01392 (NC)

Record details

NPI number1639527096
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address90 Hope Dr, Mountain Home Afb, ID 83648-1057

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