# DONALD R. MARRAM, A PODIATRY CORPORATION

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

## Provider details

- **NPI number:** 1568650620
- **Authorized official:** DR. DONALD R. MARRAM D.P.M. (DOCTOR OF PODIATRIC MEDICINE)
- **Authorized official phone:** (209) 835-4276

## Contact information

- **Practice address:** 1542 N TRACY BLVD, TRACY, CA 95376-2903
- **Practice address phone:** (209) 835-4276
- **Practice address fax:** (209) 835-1017
- **Mailing address:** 1542 N TRACY BLVD, TRACY, CA 95376-2903
- **Mailing address phone:** (209) 835-4276
- **Mailing address fax:** (209) 835-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1218 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2007
- **Last updated:** 09/22/2010