Membership Information General Information * - required fields Your Name * Your Title * Your Email Address * Office Phone * Practice Information  Individual  Group Practice  Other  Partnership  Professional Corporation If requesting information on behalf of physician or physician group Name of Physician/Practice Name Office Address Office Fax City AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA MA MD ME MI MN MO MS MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY State Zip Code Security Please enter the characters you see above in the box below: Frequently Asked Questions Get answers to common questions here. FAQs      MEMBERSHIP INFORMATION      Home Physicians Group Purchasing Association (PGPA) 75 Isham Road, Suite 420, West Hartford, CT 06107 Phone: (Toll-free) 866.473.4962   Fax: 860.521.0555   Email: info@physgpa.com Custom web site development by Crucial Networking