# SOL MESA MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FRONTIER WOUND SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366397010
- **Authorized official:** MR. JOSEPH LEE ELIASON CNP (CO-OWNER)
- **Authorized official phone:** (505) 906-6581

## Contact information

- **Practice address:** 520 NM-564, GALLUP, NM 87301
- **Practice address phone:** (505) 522-3681
- **Practice address fax:** (505) 473-9552
- **Mailing address:** 2418 E HISTORIC HIGHWAY 66 \# 292, GALLUP, NM 87301-4767
- **Mailing address phone:** (505) 522-3681
- **Mailing address fax:** (505) 473-9552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2026
- **Last updated:** 02/27/2026