Individual provider · Type 1 NPI

Stephanie Crystel Waked, MD

Student in an Organized Health Care Education/Training Program · Dothan, AL

NPI number 1467394155 Active

Practice location

1108 Ross Clark Cir Ste 210
Dothan, AL 36301-3022

Call (334) 712-3329 Map

Fax (334) 305-0219

Mailing address

1606 Avenue L Fl 2
Galveston, TX 77550-6022

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467394155

Stephanie Crystel Waked, MD's National Provider Identifier is 1467394155, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dothan, AL. The record was last updated on Apr 9, 2026.