Organization
MEDICAL PAIN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY STEVEN VAN LAECKEN D.C. (PRESIDENT)
(602) 298-6750
Entity
Organization
Contact information
Practice address
15640 N 7TH ST, #A3, PHOENIX, AZ 85022-3512
(602) 298-6750
Mailing address
15640 N 7TH ST, #A3, PHOENIX, AZ 85022-3512
(602) 298-6750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AZ
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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