Become a Member Your Name: Last Name: Select One:Not ApplicableMDDODDSDMDMSPARNNPStudent Member Ship: Active Membership($250/year) Young Physician ($125/year) less than 2 year in practice Part-Time Physician ($125/year) Lifetime Membership($2500) Retired Physicians($100) Student (Medical, Dental or Allied Health)(Free) Resident/Fellow($50) Associate (Residing in US but not licensed to Practice) ($100) Allied Health Professional($75) Email: only for use of AMWPA to correspond with you, it will not be displayed anywhere on our website. Personal Phone Number: only for use of AMWPA to correspond with you, it will not be displayed anywhere on our website SpecialityNot ApplicableAllergy & ImmunologyAnesthesiaAsthmaCardiologyChiropractorCornea Consultant of Texas Ophthamologist/eye doctorDentistDermatologyEmergency MedicineEndocrinologyFamily PracticeInternal MedicineInternistNephrologyNeurologyObstetrics/GynecologyOncologyOphthalmologyPathologyPediatricsPsychiatryRheumatologySurgery Medical School Year of Graduation Residency Training Institute Fellowship Training Institute Office/Work Address City Office/Work Address StateAlaskaArizonaAlabamaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoILLinoisIndianalowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNewHampshireNewJerseyNewMexicoNewYorkNorthCarolinaNorthDakotaOhioOklahomaOregonPennsylvaniaRhodeIslandSouthCarolinaSouthDakotaTennesseeTexasUtahVermontVirginiaWashingtonWestVirginiaWisconsinWyoming Zip Code Office Phone No New Patients Yes No Additional Information:
