# SAN JUAN OBSTETRICS & GYNECOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942385448
- **Authorized official:** DR. JERRY MYRON KARABIN MD (OWNER)
- **Authorized official phone:** (505) 325-9191

## Contact information

- **Practice address:** 814 W MAPLE ST, FARMINGTON, NM 87401-5631
- **Practice address phone:** (505) 325-9191
- **Practice address fax:** (505) 325-8585
- **Mailing address:** 814 W MAPLE ST, FARMINGTON, NM 87401-5631
- **Mailing address phone:** (505) 325-9191
- **Mailing address fax:** (505) 325-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 06/27/2017