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Welcome to the 2024 ASA/MSA membership application. Use this application to join for the first time or reactivate a lapsed membership. Follow the link below to join or rejoin MSA and ASA today!

Things You Will Need to Complete your Application:

  • Business name and address

  • National Provider Identification (NPI) number

  • Medical School institution, start & end dates 

  • Residency institution, start & end dates 

  • Fellowship institution, start & end dates, if applicable

  • Non-physician applicants: training institution information, start & end dates

  • State(s) licensed in, begin date

  • Board certificate and year certified

  • If ABA or AOBA certified, ID number

  • Sub-board certificate and year certified

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