# MEDICAL PAIN SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023468105
- **Authorized official:** DR. TRACY STEVEN VAN LAECKEN D.C. (PRESIDENT)
- **Authorized official phone:** (602) 298-6750

## Contact information

- **Practice address:** 15640 N 7TH ST, \#A3, PHOENIX, AZ 85022-3512
- **Practice address phone:** (602) 298-6750
- **Mailing address:** 15640 N 7TH ST, \#A3, PHOENIX, AZ 85022-3512
- **Mailing address phone:** (602) 298-6750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AZ | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/20/2016