Individual
DAVID A. QUELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5959 GATEWAY BLVD W, STE. 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 771-6558
Mailing address
24507 TEXICAN CIR, MENIFEE, CA 92584-0312
(915) 494-4324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2364
CA
367500000X
Certified Registered Nurse Anesthetist
550645
TX
367500000X
Certified Registered Nurse Anesthetist
AP104471
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088742403
—
TX
01
—
82707U
BCBS
TX
Enumeration date
09/16/2006
Last updated
01/25/2021
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