# BAY STATE SPINE & PAIN CENTER LLC

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

## Provider details

- **NPI number:** 1427330950
- **Authorized official:** DR. DIRK A JOHNS D.C. (OWNER)
- **Authorized official phone:** (508) 634-2444

## Contact information

- **Practice address:** 291 MAIN ST, MILFORD, MA 01757-2526
- **Practice address phone:** (508) 634-2444
- **Practice address fax:** (508) 634-2999
- **Mailing address:** 291 MAIN ST, MILFORD, MA 01757-2526
- **Mailing address phone:** (508) 634-2444
- **Mailing address fax:** (508) 634-2999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 14220 | MA | Yes |

## Other

- **Enumeration date:** 09/11/2011
- **Last updated:** 12/18/2011
