Dr. Ivan D Petrich, DO
Aerospace Medicine
NPI: 1639527096 Idaho
73/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice12/15
10 years
Data Freshness6/10
Updated 292 days ago
License Status
State board license data has not yet been verified for this provider. The Trust Score currently reflects NPPES data only.
State board verification is being rolled out state by state.
Practice Information
- Address
- 90 HOPE DR
- MOUNTAIN HOME AFB, ID 83648
- Phone
- (208) 828-7900
- In Practice Since
- May 26, 2016
- Data Last Updated
- September 12, 2025
NPI Details
- NPI Number
- 1639527096
- Status
- Active
- Taxonomy Code
- 2083A0100X
Data sourced from CMS NPPES public database. Last verified: September 12, 2025.
Report an error