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Organization

SOL MESA MEDICAL GROUP LLC

Active
Other names
FRONTIER WOUND SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH LEE ELIASON CNP (CO-OWNER)
(505) 906-6581
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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