Individual
DR. DAVID RUSSEL PATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1790 OLD TRAIL RD STE A, ETTERS, PA 17319-9600
(717) 938-6588
(717) 938-9601
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD042238E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001504020
—
PA
01
—
01127903
CAPITAL BLUE CROSS-WMG
PA
01
—
0147607000
AMERIHEALTH 65 PA
PA
01
—
071233
HIGHMARK BLUE SHIELD
PA
01
—
1142447
AMERIHEALTH MERCY-WMG
PA
01
—
233291
MAMSI-WMG
PA
01
—
30048
JOHNS HOPKINS
PA
01
—
35747
GEISINGER
PA
01
—
4389925
AETNA
PA
01
—
542987
CAREFIRST MD BCBS
MD
01
—
80864
UNISON-WMG
PA
01
—
P002884
GATEWAY-WMG
PA
Enumeration date
07/03/2006
Last updated
01/06/2026
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