| Doctor Name: | GLENN EARL HUDGENS |
| NPI Number: | 1508867052 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MEDICAL DOCTOR |
| License Number: | G18848 |
| Business Practice Address: | 26415 Carmel Rancho Blvd Ste D Carmel, CA - 939238733 |
| Business Phone Number: | 8316241597 |
| Business Fax Number: | 8316247554 |
| Mailing Address: | 26415 Carmel Rancho Blvd, Ste D CARMEL |
| State: | CA |
| Postal Code: | 939238733 |
| Phone Number: | 8316241597 |
| Fax Number: | 8316247554 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 02/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G18848 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |