Organization · Type 2 NPI

Sol Mesa Medical Group LLC

Medical Specialty Clinic/Center · Gallup, NM

NPI number 1366397010 Active

Practice location

520 NM-564
Gallup, NM 87301

Fax (505) 473-9552

Mailing address

2418 E Historic Highway 66 # 292
Gallup, NM 87301-4767

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

About NPI 1366397010

Sol Mesa Medical Group LLC's National Provider Identifier is 1366397010, issued on Feb 27, 2026. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Gallup, NM. The record was last updated on Feb 27, 2026.