Provider Demographics
NPI:1417752973
Name:MCCORMICK, ZAUNDRA G
Entity type:Individual
Prefix:
First Name:ZAUNDRA
Middle Name:G
Last Name:MCCORMICK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 NW 5TH ST APT 2205
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-3044
Mailing Address - Country:US
Mailing Address - Phone:405-404-6416
Mailing Address - Fax:
Practice Address - Street 1:2129 NW 30TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-7901
Practice Address - Country:US
Practice Address - Phone:405-459-7478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist