Organization
SAN JUAN OBSTETRICS & GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY MYRON KARABIN MD (OWNER)
(505) 325-9191
Entity
Organization
Contact information
Practice address
814 W MAPLE ST, FARMINGTON, NM 87401-5631
(505) 325-9191
(505) 325-8585
Mailing address
814 W MAPLE ST, FARMINGTON, NM 87401-5631
(505) 325-9191
(505) 325-8585
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00H5795
—
NM
Enumeration date
10/25/2006
Last updated
06/27/2017
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