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Do you belong to a medical society?
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Medical Society
*
American Medical Association [AMA]
American Medical Association [AMA]
Administration on Aging
American Academy of Allergy Asthma & Immunology
American Academy of Child & Adolescent Psychiatry
American Academy of Dermatology
American Academy of Family Physicians
American Academy of Neurology
American Academy of Ophthalmology
American Academy of Orthopaedic Surgeons
American Academy of Pain Medicine
American Academy of Pediatrics
American Academy of Physical Medicine & Rehabilitation
American Association of Clinical Endocrinologists
American Association of Colleges of Osteopathic Medicine
American Association of Electrodiagnostic Medicine
American Association of Neurological Surgeons
American Board of Allergy & Immunology
American Board of Emergency Medicine
American Board of Family Medicine
American Board of Internal Medicine
American Board of Medical Genetics
American Board of Medical Specialties
American Board of Neurological Surgery
American Board of Obstetrics and Gynecology
American Board of Ophthalmology
American Board of Orthopaedic Surgery
American Board of Otolaryngology
American Board of Pathology
American Board of Pediatrics
American Board of Preventive Medicine
American Board of Psychiatry and Neurology
American Board of Radiology
American Board of Surgery
American Cancer Society
American College of Cardiology
American College of Chest Physicians
American College of Emergency Physicians
American College of Obstetricians and Gynecologists
American College of Physicians
American College of Preventive Medicine
American College of Radiology
American College of Rheumatology
American College of Surgeons
American Heart Association
American Institute of Ultrasound in Medicine
American Neurological Association
American Osteopathic Association
American Psychiatric Association
American Roentgen Ray Society
American Society for Bariatric Surgery
American Society for Dermatologic Surgery
American Society for Gastrointestinal Endoscopy
American Society for Therapeutic Radiology and Oncology
American Society of Addiction Medicine
American Society of Anesthesiologists
American Society of Cataract and Refractive Surgery
American Society of Clinical Oncology
American Society of Internal Medicine
American Society of Ophthalmic Plastic and Reconstructive Surgery
American Society of Plastic and Reconstructive Surgeons
American Thoracic Society
American Urological Association
Centers for Disease Control
College of American Pathologists
Council of Medical Specialty Societies
Endocrine Society, The
Federation of State Medical Boards of the United States
National Board of Medical Examiners
National Cancer Institute
National Council on the Aging
National Eye Institute
National Heart, Lung, and Blood Institute
National Hemophilia Foundation
National Institute of Allergy and Infectious Diseases
National Institute of Arthritis and Musculoskeletal and Skin Diseases
National Institute of Child Health and Human Development
National Institutes of Health
National Institute on Aging
National Institute on Deafness and Other Communication Disorders
National Institute of Diabetes & Digestive & Kidney Diseases
National Organization for Rare Disorders
Radiological Society of North America
Society for Investigative Dermatology
Society of American Gastrointestinal Endoscopic Surgeons
Society of Cardiovascular & Interventional Radiology
Society of Critical Care Medicine
Society of Nuclear Medicine
Society of Thoracic Surgeons
Medical Society of the State of New York
LA County Medical Association
Membership ID:
What would you like to name your online clinic?
ie: hopkins1800 (minimum of 4 characters, no spaces or special characters)
What is your physical Clinic Address
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Address Line 2
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Washington
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State
Zip Code
What is the main point of contact's info
*
Phone Number
Email
*
How many physicians would like to have in your clinic?
Physician Details
Physician Name
*
First
Last
DOB
*
01/01/1970
Email
*
Phone Number
Admin
Name
*
First
Last
DOB
*
01/01/1970
Email
*
Phone Number
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