| Doctor Name: | GLENN E JUNG |
| NPI Number: | 1548240138 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD26858 |
| Business Practice Address: | 2001 Laurel Ave Suite N304 Knoxville, TN - 379161810 |
| Business Phone Number: | 8655469484 |
| Business Fax Number: | |
| Mailing Address: | 2001 Laurel Ave, Suite N304 KNOXVILLE |
| State: | TN |
| Postal Code: | 379161810 |
| Phone Number: | 8655469484 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | MD26858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |