Individual
DR. IVAN PETROVITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7000
Mailing address
5217 S STATE ST STE 200, MURRAY, UT 84107-4812
(801) 313-4118
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101245045
VA
2085R0202X
Diagnostic Radiology Physician
13516848-1205
UT
Other
Enumeration date
03/05/2007
Last updated
10/17/2023
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