| Doctor Name: | DR. JOHN WARNER ALDIS |
| NPI Number: | 1609843960 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 20707 |
| Business Practice Address: | 1425 Porter St Usamriid/sip Clinic Fort Detrick, MD - 217029211 |
| Business Phone Number: | 3016194594 |
| Business Fax Number: | 3106192312 |
| Mailing Address: | 4911 River Rd, SHEPHERDSTOWN |
| State: | WV |
| Postal Code: | 254435066 |
| Phone Number: | 3048766346 |
| Fax Number: | 3016192312 |
| NPI Enumeration Date: | 03/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 20707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |